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A surgeon is frequently asked to evaluate patients who are receiving systemic chemotherapy Most complications of chemotherapy do not require surgical therapy. Perirectal abscesses are more common in these immunosuppressed patients. 'Gastrointestinal bleeding occurs secondary to mucosal irritation and thrombocytopenia, ...
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Ans. (C). Sternal index 54.3Sternal index: Length of manubrium/ Length of body x 100Male: 46.2Female: 54.3Q
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. p53
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Ans. is 'b' i.e., Zone II
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Third person hallucination is characteristic of schizophrenia.
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Ans. is 'd' i.e., Varenicline Varenicilline is a direct acting nicotine agonist with selective action on a4 P2isoform of N. receptors. It is an antismoking drug.
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Ans. is 'b' i.e., Case-control studyOdds - ratio (cross product ratio)From a case control study odds ratio can be derived which a measure of the strength of association between risk factor and outcome.Odds ratio is closely related to relative risk (which is analysed in coho study) 4 odds ratio represents only an estima...
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Ans. is 'c' i.e., Preservation of traditional diet in low NCD area o A novel approach to primary prevention ofnon-communicable disease, e.g. coronary hea disease, isprimordial prevention. o It involves preventing the emergence and spread of CHD risk factors and life styles that have not yet appeared or become endemic p...
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(A) Protanopia # Colour blindness: X-linked recessive disorder> Red-green blindness is more common in congenital type# Protonope: Missing of red sensation Deuteranope: Missing of green sensation Tritanope: Missing of blue sensation> Test for colour blindness# Isihara's test: are for routine testing particularly for -gr...
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Ans. (d) Banti syndromeRef: Internet sourcesBanti syndrome:* Congestive splenomegaly caused by obstruction of Portal veins, Splenic Veins, Hepatic veins resulting in Portal hypertension, Ascites, Thrombocytopenia, Leukopenia and Upper GI haemorrhage.
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ANSWER: (A) Ankylosing spondylitisREF: Diagnostic Neuroradiology by Valery N. Kornienko, I.N. Pronin p.1277 Bechterew's disease is other name for ankylosing spondylitis or Marie-Striimpell diseaseAlso know:[?] Bechterew's test. The patient in the sitting position attempts to extend each leg one at a time followed by an...
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Ans. B. Iduronate Sulfatase* Hunters Disease (MPS-II)* Distinguishing features are vision normal as there is no corneal clouding. Males are affected
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Ans. a. Direct immunofluorescence (Ref: Harrison 19/e p372, 18th/426-428)A 60 years old man presented with itchy tense blisters on normal looking skin and urticarial rash. This patient is suffering from pemphigoid. Investigation done for the diagnosis direct immunofluorescence.The most likely diagnosis in this patient ...
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Fragile X syndrome is a genetic condition causing intellectual disability.  It causes mild to severe intellectual disability.  It affects both males and females, but females usually have milder symptoms. Symptoms include delay in talking, anxiety and hyperactive behavior. Some people have seizures.  Physical features m...
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Staphylococci are primary parasites of human beings and animals, colonizing the skin, skin glands, and mucous membranes. The most common source of infection in human patients and carriers, animals and inanimate objects being less impoant. Patients with superficial infections and respiratory infection disseminate large ...
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Ans. c (Mansonia) (Ref. Park PSM 22nd/624, 626)# Control of Mansonia mosquito is easy, i.e., by removal/destruction of aquatic host plants by herbicides.# Use of herbicide to destroy aquatic plants kills the Mansonia larvae as they grow on pisita plants.There are two main tribes of mosquitoes - Tribe anopheline and Tri...
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Ans. > 70%
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Ans. C: Vitamin A Known as 'the anti-infective vitamin', vitamin A plays an essential role in protecting your body from infection. It keeps body surfaces healthy so they can act as barriers to invading micro-organisms. Skin and membrane alteration paly explain increased sensitivity to infection during vitamin A deficie...
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(Refer: AK Khurana Comprehensive Ophthalmology, 6th edition, pg no. 283)Impoant risk factors for ROM are:-Primary: Prematurity: Gestation age <32 weeks (most impoant): Bih weight <1.5kg; Oxygen therapy: Excessive oxygen useOther: Sepsis, multiple blood transfusions, apnoeic spells, metabolic acidosis, use of aminophyll...
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Quinidine is contraindicated with digoxin as quinidine has high protein binding capacity so replace digoxin from protein binding sites. Lidocaine, phenytoin are used for ventricular arrhythmias caused by digoxin, atropine is used if there is bradycardia due to digoxin.Ref: HL Sharma 3rd ed.Pg 324
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- The first sign of pubey is accelerated growth. - Breast budding is usually the first recognized pubeal change, followed by the appearance of pubic hair, peak growth velocity, and menarche. - Primary amenorrhea is defined as absence of menses at age 13 years when there is no visible development of secondary sexual cha...
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Phenytoin has various adverse effects like hirsutism, hyperglycemia, osteomalacia, gum hyperplasia etc Norethindrone a progestin derivative has various adverse effects like breast enlargement, hirsutism, and hyperglycemia. Danazol is an antiandrogen with side effects like hirsutism, amenorrhea etc Flutamide is androgen...
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Ans. is 'c' i.e., Neural crest Suprarenal (adrenal) gland consists two pa : i) Superficial coex : Derived from coelomic epithelium (mesodermal). ii) Deepar medulla : Derived from neural crest (ectodermal).
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Minimum alveolar concentration (MAC) → Measure of Potency Oil : gas partition coefficient (lipid solubility) → Measure of Potency Blood : gas partition coefficient → measure blood solubility and speed of induction & recovery.
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Ans. is 'c' i.e., Prostate Osteolytic bone metastasesOsteoblastic bone metastasisMixed osteolytic-osteoblastico Renal (kidney)o Thyroido Ewing's sarcomao Uterine carcinomao GIT cancers & Hepatomao Wilm's tumorso Myelomao Melonoma & SCCo Malignant pheochromocytomao Prostate (most common)o Medullary carcinoma of thyroido...
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Gaucher's disease is the first storage disorder for which the treatment became available. Cerezyme' a recombinantly produced acid b-glucosidase is being currently used. Ref: Harrison's Principles of Internal Medicine, 17th Edition, Page 2455 ; O P Ghai Essential Pediatrics, 6th Edition, Pages 616-617
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SNEHA SHIVIR: "SnehaShivir" is designed to be a community based approach for the prevention and management of moderate and severe under nutrition. SnehaShivir has been introduced in 200 high burden districts of the country and is to be served through an Additional Anganwadi Worker/Nutrition Counsellor at the Anganwadi ...
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Vitamin B12 Deficiency Causes Functional Folate Deficiency--the "Folate Trap" When acting as a methyl donor, S-adenosyl methionine forms homocysteine, which may be remethylated by methyltetrahydrofolate catalyzed by methionine synthase, a vitamin B12 -dependent enzyme. As the reduction of methylene-tetrahydrofolate to ...
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Ans: d (Rule of Hasse) Ref: Reddy, 21st ed, p. 411,412Me Naughten rule, Curren rule and Durham rule, all are concerned with insanity but not Rule of Hasse.Rule of Hasse-It is used for calculating the age of the foetus.In the first five months of pregnancy the square root of crown rump length gives the approximate age o...
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Prevalence depends upon 2 factors, the incidence (I) and duration of illness (D). Given the assumption that the population is stable, and incidence and duration are unchanging, the relationship between incidence and prevalence is, P = I* D = Incidence * mean duration Therefore when duration increases prevalence also in...
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Ans. D. Ketone bodiesTests in biochemistry:a. Ketone bodies - Rothera's testb. Reducing sugars - Benedict's test, Fehling's testc. Proteins - Heller's nitric acid test, Heat and acetic acid testd. Bile salts - Hay's teste. Bile pigments - Fouchet's testf. Blood - Benzidine test
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ANSWER: (A) Vitamin A excessREF: Harrison's 18th ed ch: 14Idiopathic intracranial hypertension (IIH) or pseudotumor cerebri or benign intracranial hypertension is a disorder of unknown etiology that predominantly affects obese women of childbearing age.iavascriprishowrefcontentrrefrenceslayer'); The primary problem is ...
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Astrocytomas generally effect lateral hemispheres of brain. Astrocytomas are a type of cancer of the brain. They originate in a paicular kind of glial cells, star-shaped brain cells in the cerebrum called astrocytes. This type of tumor does not usually spread outside the brain and spinal cord and it does not usually af...
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Ans. d. Section 191 of IPC (Ref: Reddy 33/e p13, 29/e pe p11)A person is liable for punishment for perjury, which is defined under section 193 of IPC. Section 191 IPC defines perjury and section 193 IPC describes the punishment."Perjury means giving willful false evidence. The witness is liable to be prosecuted for per...
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Ans. is 'b' i.e., Serum creatinine Pretreatment evaluation for Lithium therapy o Serum creatinine (or 24 hour urine creatinine) o Thyroid function (T3, T4, TSH) o ECG o Electrolytes o Complete blood count o Pregnancy test
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(b) Scala media(Ref. Scott Brown, 8th ed., Vol 2, page 545)Endolymph is present in the membranous labyrinth, whereas perilymph is present in the bony labyrinth.Hence scala vestibuli, scala tympani and their interconnection helicotrema, which are parts of bony labyrinth, are filled with perilymph.Scala media, utricle, s...
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WHO classification of Mullerian duct anomalies Class I - Mullerian agenesis Class II - Unicornuate uterus Class III - Uterus Didelphys Class IV - Bicornuate uterus Class V - Septate uterus Class VI - Arcuate uterus Class VII - DES related anomalies.
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Hydrogenation of ergot alkaloids decrease their vasoconstrictor action and increase the α-blocking activity.
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Chorda tympani from facial nerve provides preganglionic secretomotor fibres ( parasympathetic fibres ) to the glands. Ref : B D Chaurasia's Human Anatomy, seventh edition , volume 3 , pg. no., 136.
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Refer Pharmacology for Nurse Anaesthesiology /110 Rocuronium causes pain on injection Propofol is also responsible for pain on injection Remember post operative muscular pain is caused by succinylcholine and post operative muscle rigidity is caused by Fentanyl group of drugs
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Ans. is 'd' i.e., Olecranon
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Degree of freedom = (c-1) x (r-1) Where c = no. of columns r = no. of rows In question: Number of rows = 4 Number of columns = 4 So degree of freedom = (4-1) (4-1) = 3 x 3 = 9
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Ans. A: REM Humans aroused at a time when they show the EEG characteristics of REM sleep generally repo that they were dreaming, whereas individuals awakened from slow-wave sleep/ NREM do not. This observation and other evidence indicate that REM sleep and dreaming are closely associated. The tooth-grinding (bruxism) t...
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Hepatorenal syndrome- pre-renal variety of AKI and blood supply to the glomerulus is compromised. Major criteria (All major criteria are required) Additional criteria (Not necessary for the diagnosis but provide suppoive evidence) Low GFR- serum creatinine level >1.5 mg/dL or 24-hour creatinine clearance <40 mL/min Abs...
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Cigarette smoking is most strongly associated with squamous cell carcinoma and small cell carcinoma. Small cell carcinoma variant is more malignant and metasizes Ref Harrison 19th edition pg 1702
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They are fatty acids esterified with alcohol but in addition, they contain other groups Phospholipids containing phosphoric acidRef: DM Vasudevan - Textbook of Biochemistry, 7th edition, page no: 83
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Hyperkalemia is caused by angiotensin-conveing enzyme inhibitors, angiotensin-II receptor blockers, direct renin inhibitors, nonsteroidal anti-inflammatory drugs, calcineurin inhibitors, heparin, aldosterone antagonists, potassium-sparing diuretics. salbutamol causes hypokalemia ESSENTIALS of medical PHARMACOLOGY SIXTH...
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CLOZAPINE * Impoance * First SGA * TREATMENT FOR TREATMENT RESISTANT SCHIZOPHRENIA * TOC for TD * Anti suicidal * Psychosis in parkinsonian patients Ref. kaplon and sadock, synopsis of psychiatry, 11 th edition, 935
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Ans. is 'a' i.e., Muscarinic cholinergic drug Cholinomimetic drug|||With muscarinic actionWith Nicotinic Actiono Acetylcholineo Methacholineo Carbacholo Bethanecholo Pilocarpineo Muscarineo Arecholineo Acetylcholineo Carbacholo Arecholine
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Ans. is 'a' i.e.,Medical etiquettes Medical etiquettesMedical etiquettes : It refers to existing customs of brotherhood among members of medical profession, i.e. couesy followed between members of medical profession, e.g. it is a custom not to charge another doctor or his close relatives. Medical ethicsThe earliest cod...
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Ans. is 'b' i.e., Ecological * Individuals as the unit of study - Case control study, Cohort study, Cross-sectional study.* Population as the unit of study - Ecological (correlational) study.* Ecological study is an epidemiological study in which the unit of analysis is a population rather than an individual.* Therefor...
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Ans. D. Can be emitted as well as absorbedX-rays are ionizing electromagnetic radiations, essentially produced when a stream of K shell electrons of an atom accelerated by a high voltage applied between the filament (cathode) and the target (anode), strikes the target and the electrons give up their energy producing ch...
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Ans. is a, i.e. Atonic uterusRef. JB Sharma Obs, Pg 343M/C cause of retained placenta is a simply adherent placenta. This is due to mainly atonic uterus.
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Number of AFB Result repoed No AFB per 100 oil immersion fields 0 1-9 AFB per 100 oil immersion fields Scanty 10-99 AFB per 100 oil immersion fields + (1+) 1-10 AFB per oil immersion fields ++ (2+) >10 AFB per oil immersion fields +++ (3+) Ref: Park's textbook of Preventive and Social Medicine, 21stedition, page-169.
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Ans. is 'c' i.e., Enzyme kinetics Lineweaver Burk plot, also called double reciprocal plot repreasents lineweaver - burk eqvation of enzyme kinetics.It is used to determine the values of Vmax and Km.
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"The simplest surgical procedure is ligation of the testicular vein above the inguinal ligament where the pampiniform plexus has coalesced into one or two vessels". - Bailey & Love
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Cystic fibrosisThe most common organism which causes infection is Staphylococcus.The infection that characterizes cystic fibrosis airways involves the mucus layer rather than epithelial or airway wall invasion.The unique predisposition of cystic fibrosis airways to chronic infection by Staphylococcus aureus and Pseudom...
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Ans. (B) Blood level below 350 mg/ml should be maintained to avoid agranulocytosis(Ref: Drug Facts and Comparisons 2006/1205-1206; Goodman Gilman 12th/427,432)High plasma concentration of Clozapine increases the risk of seizures (not agranulocytosis). However, usual plasma concentration required in many persons is 300-...
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DRUGS WHICH CANNOT BE REMOVED BY DIALYSIS : BENZODIAPENES,BETA BLOCKERS AMPHETAMINES DIGOXIN OPIODS OP COMPUNDS CALCIUM CHANNEL BLOCKERS ref : kd tripathi 8th ed
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Veebral aery arises from 1st pa of subclan aery. On the left side subclan aery comes directly off the aoic arch, while on the right side it arises from the brachiocephalic trunk. Scalenus anterior muscle divides subclavain aery into three pas. Branches: 1st Pa: Veebral aery Internal thoracic aery Thyrocervical trunk 2n...
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Ans. (d) Organic brain syndrome
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Ans. c. Calymmatobacterium granulomatisCalymmatobacterium granulomatis is how known as Klebsiella granulomatis (gram negative, red shaped bacterium)
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Inferior mesenteric aery [Ref: American Journal of Roentgenology 130:455-460, March 1978 Aerial dissection in aeriography can occur either during the femoral puncture (common) or during catheter manipulation. Most common aery dissected during femoral puncture is external iliac aery, so overall the most common aery diss...
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In any patient presenting with breast lump or other symptoms auspicious of carcinoma the diagonosis is made by combination of: -clinical assessment -radiological imaging -tissue sample for cytological or histological analysis. These are called Tripple assessment. Bailey and Love'sSho practice of surgery.Edition 23.Pg n...
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Veebral level and spinal cordSpinal cord in adults ends at L1, L2Spinal cord in children ends at L3Highest point of iliac crest is at L4
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Women taking oral contraceptives should be advised annual medical examinations Severe pain in calves or thighs, Severe chest pain, Severe headache, Amenorrhoea, Mass in breast and swollen legs should be checked by history and examinations Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg ...
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(A) Balamuthia mandrillaris# Granulomatous amoebic encephalitis is a central nervous system disease caused by certain species of amoeba, especially Balamuthia mandrillaris.> GAE may present in numerous ways. GAE. GAE can present with: focal paralysis, seizures, brainstem symptoms, and other neurological problems, some ...
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deja vu=== feeling of familiarity to a novel stimulus jamais vu==feeling of unfamiliarity to a familiar stimulus Reference.Kaplon and sadock, synopsis of psychiatry, 11th edition, pg No.194
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Ans. Hand and wrist
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Randomization is a statistical procedure by which the paicipants are allocated into groups usually called study and control groups to receive or not to receive an experimental, preventive or therapeutic procedure, manoeuvre, intervention. It is an attempt to eliminate bias and allow for comparability. Ref: 25th edition...
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Hepatic sinusoidal dilatation refers to the enlargement of the hepatic capillaries. Most of the time this condition is caused by hepatic venous outflow obstruction, which results in vascular stasis and congestion of hepatic parenchyma. In this setting, hepatic sinusoidal dilatation can be related to pericardial disease...
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Ref-KDT 6/e p752,753 Acedapsone is a repository form of dapsone. Single i.m. injection of acedapsone keep on releasing the drug for 3 months. Rifampicin is used once in a month (supervised dose) for the treatment of leprosy. It prevents the emergence of resistance to dapsone. Clofazimine can result in skin pigmentation...
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Ans. is `d' i.e., Carcinoma prostateThe Gleason Grading system is used to help evaluate the prognosis of men with prostate cancer.
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Ans. C. Geographic tongueGeographic tongue can have a changing appearance, hence its alternative description, erythema migrans. It involves atrophy of the filiform papillae, usually on the dorsum of the tongue. It is harmless and common. Hairy tongue is usually dark colored; it is caused by excess keratin and hypertrop...
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Plasma membrane of eukaryotic cells has a thickness of about 5 nm, constituted by lipid bilayer and embedded proteins. Hence, option B is the answer. It is selective for the transpo of substances into or out of the cells - for active as well as passive transpos It consists of Na+-K+ pump. It causes active transpo of so...
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Ans. is 'a' i.e. School teachers Under the National Programme for Control of Blindness, all children aged 10-14 years will be screened for refractive errors by trained teachers.Children who cannot read the 6/9 line with any eye are then sent to the ophthalmic assistant of the CHC for refraction test.Children needing sp...
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Chronic carrier stay seem in infection with HCV REF:MICROBIOLOGY ANANTHA NARAYANAN NINTH EDITION PAGE.551
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Enterovirus 72 was the virus causing infectious hepatitis (hepatitis type A) which has been reclassified as a separate genus Hepatovirus. REF:ANATHANARAYAN AND PANIKER'S TEXTBOOK OF MICROBIOLOGY 8TH EDITION PAGE NO:485
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Ans. is 'b' i.e., Treponema pallidum
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Ans. is 'b' i.e., Umblical vein Fetal circulation o Fetal circulation differs from adult circulation in several ways. Almost all differences are attributable to the fundamental difference in the site of gas exchange. o In the adult gas exchange occurs in the lungs, while in the fetus placenta provides the exchange of g...
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Granuloma inguinale/donovanosis- caused by Klebsiella granulomatis. Small, painless nodules appear after about 10-40 days of the contact with the bacteria. Later, the nodules burst, creating open, fleshy, oozing lesions. The lesions occur at the region of contact typically found on the shaft of the penis, the labia, or...
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A i.e. Planning Basal ganglia is concerned with planning and organizing voluntary movementsQ whereas, spinocerebellum (spinocerebellar tract) smoothen & coordinates movementsQ Control of Posture & Movements Pa Function Coical Association Areas Commands for Voluntary movements originateQ Basal ganglia & neocerebellum (l...
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Perception is defined as any information which is perceived through sensory organs In phantom limb, the patient feels sensations in the amputated limb which in reality is not present. Hence, it's a disorder of perception.
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D i.e. Postop topical antibiotics
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Drugs Commonly Implicated in Patients with Methemoglobinemia: Analgesics Phenazopyridine Phenacetin Antimicrobials Antimalarials Dapsone Local anesthetics Benzocaine Lidocaine Prilocaine Dibucaine Nitrates/nitrites Amyl nitrite Isobutyl nitrite Sodium nitrite Ammonium nitrate Silver nitrate Sulfonamides Ref: Farmer B.M...
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Ref: Grays Anatomy 40 th edition Pg: 568Explanation:Retropharyngeal space:It lies behind the pharynx between the buccopharyngeal fascia covering pharyngeal constrictor muscles and the alar facia which is the anterior leaf of pre vertebral fascia.It extends from the base of skull to the bifurcation of trachea.It permits...
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Ans. D Conservative managementThere are 2 schools of thought as faras this question is concerned - Some believe that.TOC of central perforation is myringoplasty.TOC of tubo tympanic CSOM is conservative management.But according to Turner 70/e, p 285 - central perforation/ tubo tympanic CSOM are both managed conservativ...
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The clues suggesting infection with Pseudomonas aeruginosa are the green-tinged sputum (due to the formation of blue and green pigments by P. aeruginosa), and the association with cystic fibrosis. Unfounately, P. aeruginosa is very difficult to treat with most antibiotics, and presents a very difficult therapeutic chal...
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CHRONIC MESENTERIC ISCHEMIA MC cause - Advanced atherosclerosis of multiple mesenteric vessels Risk factors Positive family history Hypeension Smoking Hypercholesterolemia C/F Post prandial abdominal pain Lasts for 15-45 min D/t ischemia of mesenteric vessels as there will be increase demand for blood after meals Diffu...
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Ans. is 'd' i.e., Most common cause of seizure is Candida (Ref: Harrison, 18th/e, p. 1559, 1560)* Most common cause of seizure in the HIV infected patient is toxoplasma.* Progressive multifocal leukoencephalopathy (PML) is a common CNS lesion in HIV infected patients. It is caused by a papovavirus called JC virus.* Pri...
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Answer- B. Sonic HedgehogBasal cell carcinomaLocally aggressive tumorAssociated with mutations which activate Hedgehog pathway signalling.Gorlin syndrome is associated with gene PTCH, a tumor suppressor genePTCh is receptor for Sonic hedgehog, which determines polarity during embryonic development.Basal cell carcinoma ...
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The collateral ligaments attach the medial and lateral borders of articular disc to the poles of condyles and are commonly called as discal ligaments.
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Ans. is 'd' i.e., Dibucaine
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. Ans. is 'c' i.e., AB, Rh negativeBlood group inheritanceFather ABABMother O00, A0,BA,BA0, A0,A0, A, 13, ABA, B, ABB0, B0, A, B, AB0,BA, B, ABABA, BA, B, ABA, B, ABA, B, ABo So, if a child has '0' blood group, there is no possibility of having AB blood group in any of the parents
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Positive Schick reaction:  This is characterized by a local inflammatory reaction that reaches maximum intensity in 4–7 days in the test arm and then reduces gradually. This indicates the absence of an immunity to C.diphtheriae. Parija SC. Textbook of Microbiology & Immunology. Elsevier Health Sciences; 2014. Page:219
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Ans. is 'b' i.e., Striate branch of middle cerebral artery One of the larger striate branches of the middle cerebral artery is known as "Charcot's artery of cerebral hemorrhage".Also knowo Medial striate artery (a branch of anterior cerebral artery) is known as recurrent artery of Heubner.
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It is of importance to take radiographs in more than one angle to ascertain the extent of the injury. Radiographs of the cheek and lip lacerations are also indicated to search for embedded tooth fragments. The three radiographic angulations recommended by the International Association of Dental Traumatology (IADT) are ...
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Refer kDT 6/e p 484 Renal aery stenosis is thenarrowing of one of the renal aeries, most often caused by atherosclerosis or fibromuscular dysplasia. This narrowing of therenal aery can impede blood flow to the target kidney, resulting in renovascular hypeension - a secondary type of high blood pressure. Angiotensin-con...
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Ans. (a) ESWLRef: Campbell 10th Edition, Pages1302-1309* The best option is PCNL followed by ESWL for this stone of size 2.5cmStone Size and Treatment:# Stone <2cm- ESWL# Stone >2cm - PCNL# Staghorn stone - PCNL + ESWL
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